Micro surgical instrument and loading unit for use therewith

• US 9,510,827 B2
• Filed: 03/25/2013
• Issued: 12/06/2016
• Est. Priority Date: 03/25/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Kostrzewski, Stanislaw
• Primary Examiner(s): Truong, Thanh
• Assistant Examiner(s): FRY, PATRICK B
• Application Number:
  US13/849,590
• Publication Number:
  US 20140284372A1
• Time in Patent Office: 1,352 Days
• Field of Search: 227/177.1
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter

Abstract

A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm.

Claims

1. A loading unit configured for engagement with a surgical instrument, the loading unit comprising:

a proximal body portion defining a longitudinal axis; and

a tool assembly disposed in mechanical cooperation with the proximal body portion, the tool assembly including a clamping member, a cartridge assembly, and an anvil assembly, wherein the clamping member includes a top portion for engaging the anvil assembly and a bottom portion for engaging the cartridge assembly, and wherein a lower-most surface of the bottom portion is closer to the top portion of the clamping member than an upper-most surface of an actuation sled, at least one of the cartridge assembly and the anvil assembly being movable with respect to the other between an open position and an approximated position to engage tissue therebetween, the cartridge assembly being configured to house a plurality of fasteners therein, and wherein the diameter of the tool assembly is less than or equal to about 8 mm.

2. The loading unit of claim 1, wherein the diameter of the tool assembly is equal to about 7 mm.

3. The loading unit of claim 1, wherein a diameter of a portion of the proximal body portion is substantially equal to the diameter of the tool assembly.

4. The loading unit of claim 1, wherein the clamping member is disposed in mechanical cooperation with the cartridge assembly and the anvil assembly, wherein the clamping member includes a vertical portion defining a vertical axis and being substantially perpendicular to the longitudinal axis.

5. The loading unit of claim 4, wherein the actuation sled is longitudinally translatable at least partially within the cartridge assembly, the actuation sled including at least two camming surfaces, wherein a first camming surface extends at a first angle with respect to a plane extending through the longitudinal axis and the vertical axis, wherein the vertical axis is within the plane, and wherein a second camming surface extends at a second angle with respect to the plane.

6. The loading unit of claim 5, wherein the actuation sled includes a V-like profile.

7. The loading unit of claim 5, wherein the first angle and the second angle are between about 15°

and about 40°

.

8. The loading unit of claim 5, wherein the first angle and the second angle are about 25°

.

9. The loading unit of claim 5, wherein at least a majority of a first tissue-contacting surface of the cartridge assembly is disposed at a substantially perpendicular angle with respect to the first angle, and wherein at least a majority of a second tissue-contacting surface of the cartridge assembly is a disposed at a substantially perpendicular angle with respect to the second angle.

10. The loading unit of claim 4, wherein the cartridge assembly includes a plurality of fasteners therein, and wherein each of the plurality of fasteners is configured to be ejected from the cartridge assembly at an angle that is neither parallel nor perpendicular to the vertical axis.

11. The loading unit of claim 4, wherein the clamping member includes a top portion for engaging the anvil assembly and a bottom portion for engaging the cartridge assembly, and wherein a total height defined between an upper-most surface of the top portion and a lower-most surface of the bottom portion is between about 1 mm and about 2.5 mm.

12. The loading unit of claim 4, wherein the actuation sled is longitudinally translatable at least partially within the cartridge assembly.

13. A cartridge assembly for use with a tool assembly of a surgical instrument, the cartridge assembly comprising:

a plurality of fasteners disposed at least partially therein;

an actuation sled configured for longitudinal translation therein along a first longitudinal axis;

wherein each fastener of the plurality of fasteners is configured to be ejected at a non-perpendicular angle with respect to the first longitudinal axis, each fastener of the plurality of fasteners moving away from the actuation sled at an acute angle; and

a clamping member having opposed first and second portions, the first portion coupled to the cartridge assembly, the first portion spaced from the second portion defining a first distance and an upper surface of the actuation sled spaced from the second portion defining a second distance greater than the first distance.

14. The cartridge assembly of claim 13, wherein the actuation sled includes a V-like profile including a first camming surface disposed at a first angle and a second camming surface disposed at a second angle.

15. The cartridge assembly of claim 14, further comprising a first tissue-contacting surface and a second tissue-contacting surface, wherein at least a majority of the first tissue contacting surface is disposed at a substantially perpendicular angle with respect to the first angle, and wherein at least a majority of the second tissue-contacting surface of the cartridge assembly is a disposed at a substantially perpendicular angle with respect to the second angle.

16. A surgical instrument, comprising:

a handle assembly;

an elongated body portion extending distally from the handle assembly; and

a loading unit configured for engagement with a distal end of the elongated body portion, the loading unit comprising;

a proximal body portion defining a longitudinal axis; and

a tool assembly disposed in mechanical cooperation with the proximal body portion, the tool assembly including a clamping member, a cartridge assembly, and an anvil assembly, wherein the clamping member includes a top portion for engaging the anvil assembly and a bottom portion for engaging the cartridge assembly, and wherein a lower-most surface of the bottom portion is closer to the top portion of the clamping member than an upper-most surface of an actuation sled, at least one of the cartridge assembly and the anvil assembly being movable with respect to the other between an open position and an approximated position to engage tissue therebetween, the cartridge assembly being configured to house a plurality of fasteners therein, and wherein the diameter of the tool assembly is less than or equal to about 8 mm.

17. The surgical instrument of claim 16, wherein the clamping member is disposed in mechanical cooperation with the cartridge assembly and the anvil assembly, wherein and the clamping member includes a vertical portion defining a vertical axis and being substantially perpendicular to the longitudinal axis.

18. The surgical instrument of claim 17, wherein the cartridge assembly includes a plurality of fasteners therein, and wherein each of the plurality of fasteners is configured to be ejected from the cartridge assembly at an angle that is neither parallel nor perpendicular to the vertical axis.

19. The surgical instrument of claim 17, wherein the actuation sled is longitudinally translatable at least partially within the cartridge assembly, the actuation sled including at least two camming surfaces, wherein a first camming surface extends at a first angle with respect to a plane extending through the longitudinal axis and the vertical axis, wherein the vertical axis is within the plane, and wherein a second camming surface extends at a second angle with respect to the plane.

20. The surgical instrument of claim 19, wherein the first angle and the second angle are between about 15°

and about 40°

.

21. A surgical instrument comprising:

a cartridge assembly and an anvil assembly, at least one of the cartridge assembly and the anvil assembly being movable with respect to the other between an open position and an approximated position to engage tissue therebetween,

the cartridge assembly being configured to house a plurality of fasteners therein;

an actuation sled having the shape of a wedge;

a clamping member having opposed first and second portions, the first portion coupled to the cartridge assembly and the second portion coupled to the anvil assembly, the first portion spaced from second portion defining a first distance and an upper surface of the actuation sled spaced from the second portion defining a second distance greater than the first distance;

a plurality of pushers arranged in the cartridge assembly so as to be engaged by the actuation sled;

a clamping member translatable through the cartridge assembly and anvil assembly; and

a sled bar translatable through the cartridge assembly and arranged to move the actuation sled distally through the cartridge assembly so that the actuation sled engages the plurality of pushers, such that a first pusher of the plurality of pushers moves at an acute angle with respect to a second pusher of the plurality of pushers.

22. The surgical instrument according to claim 21, wherein the clamping member has an upper portion for engaging the anvil assembly and a lower portion for engaging the cartridge assembly so as to bring the anvil assembly and cartridge assembly into the approximated position.

23. The surgical instrument according to claim 22, wherein the lower portion engages an upper portion of a cartridge channel.

24. The surgical instrument according to claim 21, wherein the diameter of the cartridge assembly and anvil assembly when in the approximated position is less than or equal to about 8 mm.

25. The surgical instrument according to claim 21, wherein the cartridge assembly defines two rows of the fasteners on one side of the clamping member and two rows on the other side of the clamping member.

26. The surgical instrument according to claim 24, wherein the pushers each have two pusher plates.

27. The surgical instrument according to claim 21, wherein the clamping member has a knife blade.

28. The surgical instrument according to claim 21, wherein at least one of the anvil assembly and the cartridge assembly has a non-perpendicular angle with respect to a longitudinal axis of the surgical instrument.